Individual ProviderDawit TsegayePharmacistPharmacy Service ProvidersPractice Address821 Wayne Ave, Silver Spring, MD 20910-4427(301) 585-8005PECOS EnrollmentBased on the most recent information from CMS, provider Dawit Tsegaye does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1780906370Provider TypeIndividualFull NameTsegaye, DawitCredentialPHARM.D.GenderMaleSole ProprietorNoEnumeration Date2/23/2010Last Updated2/23/2010Contact InformationPractice LocationPractice Address821 Wayne Ave, Silver Spring, MD 20910-4427Phone(301) 585-8005Fax(301) 585-9005Mailing LocationMailing Address821 Wayne Ave, Silver Spring, MD 20910-4427Phone(301) 585-8005Fax(301) 585-9005Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense16151MarylandCode183500000XDescriptionPharmacistPharmacy Service ProvidersLicensePH100000717District of ColumbiaCode183500000XDescriptionPharmacistPharmacy Service ProvidersLicense0202012728VirginiaProvider IdentifiersIDDescriptionIssuerID0202012728DescriptionOtherIssuerSTATE BOPVirginiaIDPH100000717DescriptionOtherIssuerDC BOPDistrict of ColumbiaID16151DescriptionOtherIssuerSTATE BOPMaryland